The holder whose full name is Johnson, Marie Elena,come from Schererville IN,hold the CSR-Prescriptive Authority license(NO.71002947B) which status is Active.
| Name | Johnson, Marie Elena |
|---|---|
| License Number | 71002947B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Schererville |
| State | IN |